Inspection on 09/05/05 for Ashleigh Residential Home

This inspection was carried out on 9th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Ashleigh Residential Home 19/01/07

Ashleigh Residential Home 30/05/06

Ashleigh Residential Home 14/10/05

Ashleigh Residential Home 19/10/04

Ashleigh Residential Home 21/07/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Ashleigh Residential Home 60 Stile Common Road Primrose Hill Huddersfield HD4 6DE Lead Inspector Jacinta Lockwood Unannounced 9 May 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ashleigh Residential Home Address 60 Stile Common Road Primrose Hill Huddersfield HD4 6DE 01484 514291 01484 515532 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Eldercare (Halifax) Ltd Care home 25 Category(ies) of 25 x Old age - over 65 years registration, with number of places Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection 04.02.05 Brief Description of the Service: Ashleigh was purchased by Eldercare (Halifax) Limited, a small local company, in May 2004. The home was orignally registered to provide personal care and accommodation for up to 33 older people, but at the providers request the registration was reduced to 25 in May 2005. Ashleigh is a stone built detached property with a purpose built extension. There are gardens around the home and car parking at the front. The home offers accommodation on two floors with several lounge/dining areas. A passenger lift provides access to the first floor. The home is located approximatley 2 miles from Huddersfield town centre and is accessible for public transport and local shops. Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report refers to an unannounced inspection carried out by one inspector during the day and by two inspectors during the evening of Monday, 9 May 2005. The duration of the combined visits was 9.55 hours. During the day, the home’s administrator and the Assistant Group Care Manager assisted the inspector. The Group Care Manager and the Assistant Group Care Manager were given initial feedback following the daytime inspection. The following inspection methods were used: discussion with service users, a relative, staff and management; a limited tour of the premises; inspection of a sample of records including care plans, medication records, accident log, maintenance records, complaints log, staff recruitment and training records. Good progress has been made towards improving the services and facilities at Ashleigh. This progress should continue to further ensure that services and facilities meet the needs and secure the welfare and safety of service users. It is positive to note that Eldercare (Halifax) Limited has made a commitment to do so. What the service does well: What has improved since the last inspection? Where improvements have been made to the internal environment, these are of good quality. Action has been taken to address some previous requirements regarding the kitchen environment and record keeping. Improvements have also been made to record keeping generally, but further work is necessary. Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 Service users are assessed prior to admission and staff had an understanding of service users’ assessed needs. EVIDENCE: Standard 6 is not relevant as Ashleigh does not provide intermediate care. There have been no permanent admissions to the care home since the last inspection. However, a short stay service user had been provided with a letter of confirmation that, following assessment, the care home was able to meet the service user’s needs. The short stay service user was not in residence at the time of the inspection. Care needs to be taken to ensure that assessment forms are fully completed, as there were gaps on the assessment form for one service user regarding hearing and orientation. Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10 Work has been done to improve care plans, however, this needs to be continued. The lack of attention to detail in records means that some service users’ needs are not being fully met. There were examples of poor practice regarding medication record keeping and staff must ensure they follow correct procedures. Staff need to ensure that service users’ privacy and dignity are promoted at all times. EVIDENCE: Three service user care plans were inspected. These plans contained some detailed information and had been reviewed. However, they also contained some conflicting information. A service user’s care plan relating to nutrition stated that “any great loss/gain needs specific action” but there was no detail as to what would be seen as ‘great’ nor what form the ‘specific action’ should take. This service user’s Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 10 monthly weight chart indicated a weight loss but there was no evidence that any action had been taken in response to this. A service user’s care plan stated that elimination of fluids was to be recorded, but the service user’s fluid intake and output chart had gaps in recording and there was a lack of evidence that fluid elimination was being recorded. Not all assessment information had been formulated into a plan of care. For example, in relation to social care needs, skin care, nutrition and pressure areas. There was a varied level of daily recording, which did not always reflect delivery of the service user’s plan of care. Care plans were not signed by the service user or their representative. Training has been provided to staff on the home’s medication system and support given from the supplying pharmacist. Three samples of service users’ medication were inspected. None of the service users case tracked were selfmedicating. There were some gaps in recording medication into stock. Three tablets from different medications for one service user were not in the blister packs, and the medicines administration record had not been signed. The medication record for two service users did not accurately reflect their current situation as described by a member of staff and as noted in one service user’s file. Accurate medication records must be kept. Staff were observed to have friendly and supportive interactions with service users and care plans stated how the service users’ privacy and dignity was to be promoted. The inspector was concerned to hear a member of staff say that she would hold open a toilet door to allow a service user to enter but then to observe that the toilet door was wide open when the service user was using the toilet. However, service users said that staff do respect their privacy and dignity Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 15 More work needs to be done to ensure that the lifestyle experienced by service users meets their social and recreational interests and needs. Service users like the food provided. Meals are nutritious and offer a healthy, balanced and varied diet for service users. EVIDENCE: As in previous inspections, service users said that routines within the home are flexible. Two inspectors returned at 8.50pm on the day of the inspection. During the evening visit, a service user was asleep in an armchair and looked uncomfortable; the service user was leaning to the left side and the left arm was dangling over the side of the chair. There were no cushions to support the service user and although staff were in and out of the lounge, they seemed unaware of the service user’s positioning. Staff should be more observant so as to ensure service users’ comfort. During the daytime visit, service users reported that they could go to bed and get up when they choose; this was also recorded in the care plans inspected. Minutes of a recent staff meeting show that this had been discussed with staff. Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 12 During the evening visit, the inspectors observed that four of the eleven service users were in their day clothes and seated in one of the lounges. Staff spoken to said that service users could stay up if they choose to and staff were observed to ask each service user if they wanted to go to bed. The last service user was assisted to bed at 9.45pm. The inspectors spoke to three of the four service users. One of the service users said that staff just take you to bed and if you don’t want to go to sleep you sit in your chair in your bedroom; another said that staff tell them they have to go to bed. Based on the comments made by some service users, staff should be made aware of how to support service users’ choices about their routines. Some service users reported that life in the home was boring and that they don’t like being indoors all day, but that they can receive visitors in private and are able to develop friendships with other service users. A visitor reported being made welcome at the home and that visits can be made in private. A small library with large print books was available for service users. One of the local churches visits the home to give communion on a regular basis. The activities programme for the afternoon of the inspection was ‘sing along with Max’. A video of Max Bygraves singing, was put on the television but staff did not remain with or engage service users with this. In one lounge, the television was on and music was also playing. It is positive to note that, in response to a previous recommendation regarding the implementation of a varied activity programme, an activities organiser has been employed and was due to start working at the home during the week of the inspection. The employment of an activities organiser will, hopefully, address the need for service users to have access to a varied programme of activities, which meets their expectations and preferences. It is positive to note that action has been taken to address a previous requirement regarding the kitchen facilities although work is not yet complete. The new kitchen floor covering is bubbling and this should be rectified; new kitchen door fronts are on order and have yet to be replaced. The previous requirement has been carried forward until all identified work has been satisfactorily completed. The dining room was well laid out with table decorations, napkins and condiments. Service users commented positively about the food provided. Menus at the home show that a choice of food is available at mealtimes and this was evident at the time of the inspection with the cook asking service users what they would like to eat and service users being provided with a choice of two main and dessert dishes. Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 13 It was positive to see a member of staff sharing a meal with service users; the atmosphere in the dining room was calm and relaxed with service users being given enough time to finish their meal. Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 18 The registered provider takes complaints seriously and acts upon them. Some processes are in place to protect service users from abuse, but all staff need to receive adult protection training to ensure that service users are protected from the potential risk of abuse. EVIDENCE: The home’s complaints procedure is on display as is the local authority’s complaints procedure. Service users said that they knew who to speak to should they be unhappy about anything. A record of complaints is maintained and shows that action is taken to address any concerns raised. An anonymous complaint was made to the CSCI and investigated by the provider who did not uphold the allegations made. Some of the issues raised regarding urine odours, supervision of service users and choice of bed times were looked at in general terms on the day of the inspection. Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks are carried out on staff prior to employment at the home to ensure they are suitable to work with vulnerable people. The majority of staff have not received adult protection training. The inspector was informed that a vulnerable adults video has been purchased and an application has been made for adult protection training. A member of staff indicated that she would take appropriate action was abuse to be suspected. Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 15 However, it is important that relevant training is provided to staff to ensure the continued protection of service users. Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 24, 25, 26 Specialist equipment is generally available to service users to maximise their independence although access to emergency call leads in ground floor lounges would enhance this. Service users bedrooms are safe, comfortable and contain personal possessions. The home provides safe, comfortable surroundings. The home was clean, tidy and pleasant, although there were some urine odours to some of the seating. EVIDENCE: A programme of redecoration is ongoing and redecoration is of a high standard. The reception area has been decorated and is light and clean and looks attractive with new light fittings, a new carpet and recently recovered seating; service users were seen to spend time here during the day. Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 17 There was evidence that bedrooms are redecorated as they become vacant and new carpets have been laid in three bedrooms identified during a previous inspection. An upper window in a ground floor lounge was boarded up; the window should be repaired/replaced and the boarding removed. During the evening visit there were urine odours to some chairs in one of the lounges and a service user smelled strongly of urine. Some chairs have been recovered and this is ongoing, but in the meantime action should be taken to eliminate urine odours. A limited number of bedrooms were inspected; those seen looked comfortable and homely and reflected service users’ personal tastes and interests. Window restrictors were in place in those bedrooms seen. The home’s maintenance record indicated that chains are required in two further bedrooms and this should be addressed. Specialist equipment such as grab rails, pressure relieving equipment and mobility aids were available at the home to enable service users to maximise their independence. Emergency call leads were available in those bedrooms seen. Emergency call points were available in both ground floor lounges, although only one extension lead was available in one of the lounges. Staff spoken to said they carry out checks on service users every 10-15 minutes and another that halfhourly checks are carried out. Clear guidance should be available to staff regarding the supervision of service users. Some service users spoken to were unsure of how to attract the attention of staff. The call point in one lounge is sited on the wall behind the door and would not be easily accessible to service users. Easy access by service users to a system for attracting the attention of staff would promote their independence and safety and action should be taken to address this. Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 Staffing levels were adequate, and completion of basic staff training should provide staff with the skills and knowledge necessary to meet the needs of current service users. Required staffing information was available to promote the safety of service users. EVIDENCE: Staffing levels were adequate for the number of service users in the home; at the time of the inspection there were eleven service users in residence. There have been changes within the staff team with new staff being employed. It is positive to note that all staff at the home are undergoing TOPSS based induction training and from information provided, good progress is being made toward completion. NVQ level 2 and 3 training is ongoing. Not all staff have yet received training in movement and handling, food hygiene, health and safety and fire safety, although the home’s training plan indicates that some training dates have been arranged. As noted elsewhere in the report there was evidence to suggest that not all the social and welfare needs of some service users are currently being met. Service users commented positively about staff at the home. Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 19 Three staff files were inspected. There was no evidence, in all cases, that the gaps in employment history had been explored at interview in accordance with the care home’s recruitment procedure and the National Minimum Standards for Older People and this should be addressed in future. One application form was incomplete. References had been obtained, although where references are sought and not supplied, evidence that this has been followed up should be recorded. CRB and POVA checks had been obtained prior to employment and it is positive to note that appropriate action taken where concerns had been highlighted. Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35, 38 Evidence suggests that action is being taken to ensure that the home is run in the best interests of service users. Systems are in place to ensure service users’ financial interests are safeguarded. Systems are in place and action has been taken to promote health and safety within the home. Staff training is not up-to-date and monitoring of care practice and record keeping should increase to ensure that service users’ health and welfare needs are fully met. EVIDENCE: There was evidence that service users and their relatives are consulted during meetings at the home. Customer satisfaction questionnaires have been Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 21 distributed and the findings are to be published once these have been returned and analysed. As previously recommended, lockable storage facilities have been provided in service users’ bedrooms. Records show that relevant health and safety and maintenance checks are carried out. A fire drill involving eleven members of staff was recorded as being held on 08.04.05 and fire safety training for staff has been arranged for 26.05.06. Previous requirements relating to health and safety issues have been addressed. Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 2 9 1 10 1 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 x 14 x 15 1 COMPLAINTS AND PROTECTION 2 x x 1 x 3 3 2 STAFFING Standard No Score 27 1 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 1 x x 1 x 3 x x 3 Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 23 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 7 Regulation 15 Requirement The registered person shall prepare a written plan as to how service users assessed needs are to be met. The plan must be in sufficient detail to provide clear guidance to staff on the actions to be taken by them to meet service users health and welfare needs. (Timescale of 21.07.04 and 01.11.04 not met) Accurate and up-to-date medication records must be maintained. Arrangements must be made to ensure that service users privacy and dignity is promoted. All requirements and recommendations by the environmental health officer must be addressed. (Timescales of 21.07.04 and 01.11.04 not fully addressed). All staff must receive training in the protection of vulnerable adults. (Timescale of 15.10.03 and 21.07.04 not met) Call bell leads must be available to service users in all rooms used by them. (Timescale of 21.07.04 and 01.12.04 not fully Timescale for action 10.08.05 2. 9 3. 4. 10 15 13(2) 17(1)(a) Schedule 3 12(4)(a) 16(2)(j) 15.06.05 15.06.05 10.08.05 5. 18 13(6) 10.08.05 6. 22 16(2)(c) 10.06.05 Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 24 met). 7. 26 16(2)(c) The bath hoist must be thoroughly cleaned and maintained. (Timescale of 21.07.04 and 15.11.04 not fully met). All staff must receive all mandatory training. (Timescale of 15.11.04 not met). The quality of care provided at the home must be reviewed and any report made available to service users and a copy supplied to the Commission (Timescales of 15.10.03, 21.07.04 and 30.11.04 not fully met) 10.06.05 8. 9. 27 33 18(1)(c(i) 24 15.09.05 10.08.05 10. 11. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 7 12 Good Practice Recommendations Care plans should be signed by service users or their representatives to evidence their involvement. A varied activities programme should be implemented which meets serivce users expectations, choices and preferences. (Recommendation carried forward from 21.07.04 and 19.10.04). The upper window to a ground floor lounge should be repaired/replaced and the boarding removed. Also, windows restrictors should be put in place to the two bedrooms identified in the homes maintenance record. Service users should have access to a call system for attracting the attention of staff. Urine odours should be eliminated. The homes recruitment policy and procedure should be followed regarding gaps in employment history. 3. 19 4. 5. 6. 22 26 29 Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 25 Commission for Social Care Inspection Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Ashleigh Residential Home J51J01_s60145_ashleigh_v225983_090505.doc Version 1.30 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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